| Percutaneous balloon valvotomy for patients with mitral stenosis: initial and follow-up results. | |
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MedLine Citation:
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PMID: 1990751 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Percutaneous double balloon mitral valvotomy (PMV) was performed in 25 patients with severe mitral stenosis who were followed for at least 6 months after the procedure. There were 22 women and 3 men, with a mean age of 51 +/- 14 years (range, 27 to 74). Hemodynamic and angiographic findings were evaluated before and after PMV and clinical status was assessed at follow-up. There was a significant decrease in mitral gradient following PMV, from 15.4 +/- 5.1 to 5.0 +/- 2.6 mm Hg (p less than .0001); an increase in cardiac output, from 4.6 +/- 1.1 to 5.2 +/- 1.1 L/min (p less than .01); and an increase in calculated mitral valve area, from 0.9 +/- 0.2 to 2.2 +/- 0.6 cm2 (p less than 0.0001). Mitral regurgitation developed or increased in severity in six patients (24%). At the time of follow-up (mean, 12 +/- 5 months), three patients required elective mitral valve replacement for symptomatic mitral regurgitation and 91% (20 of 22) of the remaining patients had continued improvement in functional class. PMV can safely be performed in properly selected patients with symptomatic mitral stenosis with good immediate and follow-up results. |
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Authors:
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P N Casale; W J Stewart; P L Whitlow |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: American heart journal Volume: 121 ISSN: 0002-8703 ISO Abbreviation: Am. Heart J. Publication Date: 1991 Feb |
Date Detail:
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Created Date: 1991-03-06 Completed Date: 1991-03-06 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370465 Medline TA: Am Heart J Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 476-9 Citation Subset: AIM; IM |
Affiliation:
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Department of Cardiology, Cleveland Clinic Foundation, OH 44195-5066. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Balloon Dilatation* / adverse effects, instrumentation, methods Echocardiography Female Follow-Up Studies Heart Catheterization Hemodynamics Humans Male Middle Aged Mitral Valve Mitral Valve Stenosis / physiopathology, therapy*, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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